JENNIFER LYNN PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108972

License Status

NOT RENEWED

Business

First Name

JENNIFER LYNN

Last Name

PETERSON

Business Name

JENNIFER LYNN PETERSON

Original Issue Date

12/02/1994

Effective Date

12/02/1994

Expiration Date

03/31/1999

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005